Enabling choice: Addressing barriers to abortion services in rural British Columbia

Induced abortion is an extremely common procedure in Canada; 1 in 3 Canadian women terminate at least one pregnancy in their life time. It is a medically necessary service, but women living in rural communities in British Columbia face extreme barriers when accessing abortion services. Women face extra-legal barriers related to distance, cost, a lack of rural health care professionals, and a lack of health care facility resources. This study seeks to examine existing interventions in BC and other jurisdictions, and synthesize existing research to compile a complete list of policy options. Following a full evaluation of these options to better understand effectiveness and tradeoffs, the study culminates with a list of priorities for action. The final recommendations first address flaws in existing policies for short term more immediate interventions, and secondly, introduce new initiatives for longer term success.